Form recording the chain of custody for samples analyzed by Westchester County Department of Labs and Research in October 2001.
NYC-WTC_000027513–000027515Folder label: “24481”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document ", W
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ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
JU Time/Date Set:______ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575
C till, 771 i i / NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): 1. Potable 3. Non-Potable Treated Bottle #‘s: 1 • f it.. ■ j l 4, "B 2. Non-Potable 4. Other____ Chain of Custody?____ yes ___ no Time/Date Collected: le& Zoel Comments:____________ Collected By: M.A Col P ... Agency Code:. _ Source ID: Type Descriptor:. Collected From: - Bill to: Location's/ndividual's Name bs X Name/Company. Street______________________ ___ _ Street_______ City/St/Zip_______________________ City/SVZip Identification of Source • -__________ DEP# Phone#:, _Fax#:. Collection Point. CA, CH, BI? Check#: Amounts,
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ( ORGANIC NONPOTABLE/SOLID ANALYSES Lab#: _______ ________ Lab #:_____ _ 2 I_ _ (circle tests) (circle, tests) .$ 1 ‘I 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /2.) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic 6 Pesticides (507) 6. PCB’s (Arochlors) (608/8080) 6.Macroscopic (7) Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 8.other: 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) (10. Pesticides (525) 10. Glycols in Water T Refrigerated? .no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) *s 12. Glyphosate (547) 12- Base Neutral Extractables (625/8270) Chlorinated?: yes. .no 13. Diquat (549) 13.GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chlorine Res:. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
pH
INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) 1. Color 20. Acidity 39. Aluminum /Xeo 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 3. pH 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium - 5. Corrosivity (temp: °C) 24. Chloride 43. Beryllium 63. Thallium . s 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium . " 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs CLP 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca*2 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-volatiles 12, Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB's (Solids, Percent (%) 32. Oil and Grease '51. Copper 70. Disk Deliverables •Solids, Settleable 33. Phenol 52. Iron TCLP 15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other:____________ 38. UV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel ST 1 NYC-WTC_000027515
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NYC-WTC_000027531
Documentation tracking the transfer and handling of environmental samples between collection sites and the Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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Document tracking the custody and handling of environmental samples submitted to the laboratory.
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Document tracking the custody and handling of environmental samples submitted to the laboratory.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
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Form documenting the transfer and logging of environmental samples at the Westchester County laboratory.
9 shared non-person entities · 1 shared topics · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070569
Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071265
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071348
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072313
Form documenting the transfer and receipt of samples at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071184
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070652
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072168
Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · similarity 0.991
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